| NPI | 1578023842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL UO6775) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS17146) |
| 207R00000X Internal Medicine (Licence: FL UO6775) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2021-11-30 |